Formal Grievance

Form

Before completing this form, you may want to read the WHH Grievance Procedure.

You should download this form and save it on your computer before completing it.

Employee Details

Name:

Department:

Job Title:

Informal Resolution

Have you raised your concerns informally with a UECS manager?	Yes ☐	No ☐

Please outline the steps that you have taken to resolve your concerns before submitting a formal grievance.
Please detail the reason(s) why you are not satisfied with the informal resolution.

Grievance Details

Please explain the nature of, and grounds for, your grievance, including any detriment you have experienced. Include the name(s) of any individual(s) being complained of (if applicable) and provide supporting evidence for your grievance. This could include emails, references to documents, details of incidents and names of witnesses.
Please state the resolution you are seeking.

Employee Confirmation

I confirm that the information provided is correct.

Signature of Employee:

Date:

You can sign the form in a number of ways: Upload a JPEG image of your signature. Print the form, both sign it, then scan it and save it. The employee confirms by email. Save the email with this form.